Active NPI
Jennifer Avise, MD
- Vascular Surgery Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A137711
- Practice address
- 5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400 - Phone
- (925) 892-4290
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 40
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
CA
-
- Orthopaedic Surgery Physician
- Castro Valley, CA
- NPI 1093181646
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- San Ramon, CA
- NPI 1003505397
-
- Podiatrist
- San Francisco, CA
- NPI 1043051857
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1043616600
-
- Anesthesiology Physician
- Pleasant Hill, CA
- NPI 1205296084
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Emory University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Medical FoundationBass Medical Group
Practice addresses (Care Compare)
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512
350 30TH St
Suite 210
Oakland, CA 94609-3425
Phone (510) 832-6131
365 Lennon LN
Walnut Creek, CA 94598-5915
6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- Stanford Health Care Tri-Valley
- John Muir Medical Center - Walnut Creek Campus
- Providence Santa Rosa Memorial Hospital
- John Muir Medical Center - Concord Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 58 |
| Varicose vein removal | 24 |
| Leg revascularization (restoring blood flow) | 18 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160513001222 | CA | Practitioner - Vascular Surgery | 4082936455 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137711 | CA | MD | Vascular Surgery Physician |
Practice roles (29 of 30)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Surgery | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Stanford Health Care | Surgery | Past | Accepting new patients |
| Providence Medical Foundation | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| The Hospital Committee for the Livermore-Pleasanton Areas | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Stanford Health Care Tri-Valley | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
350 30th St
Ste 210
Oakland, CA 94609
Phone (510) 832-6131
5924 Stoneridge Dr
Ste 108
Pleasanton, CA 94588
Phone (925) 225-0138
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 890-4250
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- javise164362@ehr.johnmuirhealth.com
- javise82170@santaclaravalley.direct-ci.net
- javise366781@hisp.ehr.sutterhealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A137711 | CA | |
| Vascular Surgery Physician | 2086S0129X | A137711 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400
Mailing address
5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400
Other practice location 1
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330
Other practice location 2
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 795-7000
Other practice location 3
350 30th St Ste 210
Oakland, CA 94609-3425
Phone (925) 892-4290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2026.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1801039615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5924 STONERIDGE DR STE 108",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 STONERIDGE DR STE 108",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885400",
"telephone_number": "925-892-4290"
}
],
"practiceLocations": [
{
"address_1": "2637 Shadelands Dr",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945982512",
"country_code": "US",
"telephone_number": "925-932-6330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Bon Air Rd",
"address_purpose": "LOCATION",
"city": "Greenbrae",
"state": "CA",
"postal_code": "949041702",
"country_code": "US",
"telephone_number": "415-795-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 30th St Ste 210",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093425",
"country_code": "US",
"telephone_number": "925-892-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVISE",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A137711",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A137711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.